Individual provider · Type 1 NPI

Nicole Anna Vizulis, PA-C

Physician Assistant · Grand Rapids, MI

NPI number 1760024418 Active

Practice location

2770 E Beltline Ave NE
Grand Rapids, MI 49525-8614

Call (616) 267-8860 Map

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601009652 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1760024418

Nicole Anna Vizulis, PA-C's National Provider Identifier is 1760024418, issued on Oct 15, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 11, 2025.